HomeMy WebLinkAbout24-10171 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 24-10171 2 576
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OS STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
C{YLLISION'.. O9 - 1-- 2024 0112 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
INDEX AVE NE BLOCK NO. e✓ 600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 10 00 FEET MILES e S B W e NE 6TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:8085573825 1 4 30
6� LAST NAME LABAN FIRSTNAME PETER MIDDLE S 1 2 31
INITIAL
STREET ❑,Ill 16 WHITMAN CT NE CITY RENTON ST WA ZIp' 98059 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ P1 aT�S� CLT2246 sTArr WAurN# KNDADFS51R6026069
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 0 0 VIN#' VIN#
FROM
34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE
13 2 2024 KIA EV9 P4 DAMAGE YES NO � � MEYER TOWING YES[:] No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILI INSURANCE INSURANCE CO STATE FARM 497.4622-A19.47D 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLYYES❑NO❑ CITATION# 4A0579054 DRIVING WITH WHEELS OFFMOT <1�3
orroM
15❑ �STfANDING 'j 7 6
UNIT a2 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER R ❑ DES 1/ NO OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP g
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LLIICENS RIVERS# STATE SEX U MMDDYY 39
WELMET 1NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
❑ILICENSE 21❑ PLA E# D13759D TAre 41
WA VIN# SFPYK3F72K6038733 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2019 MAKE HOND MODEL RIDGLINE STYLE PK VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24 DAMAGE YES✓ NO GENE MEYER TOWING YES NO�/
REGISTERED OWNER INFO JONATHAN RIOS SANDOVAL 608 INDEX AVE NE RENTONWA98506 D:4254450768 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFIECTTY NSURANCE INSUEl &POLICY#E CO I 9TOP
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 $
=ON
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12421 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF19932
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10171
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KANIHO-LABAN BRANDI M
(LAST FIRST,
ADDRESS&PHONE# D O.B.
18803 SOUTHCENTER PKWY,UNIT TUKWILA WA 98188 SEXi F MMDDYyry 06 - 18 - 1988
PASSENGER I�I WITNESS UNIT# 1 POS 3, AIRBAG 6 RESTR. 4 EJECT ? 1 HELMET INJURY NATURE OF INJURIES
L�!1 USE 1 2 CLASS !1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEXt MMDDYVYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 09-29-24 04:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 1 9/30/2024 11:54:55 AM
BADGE OR ID# ! 12421 ORI#' WA0171300 TIME POLICE DISPATCHED; 1:13 AM TIME POLICE ARRIVED',1:18 AM
PART I PAGE IT]OF 6�
REPORT NO. EF19932 CASE# 24-10171 OF COLLISION
09/29/24 01:12
OF CbLLI510N
NARRATIVE
24-10171 COLL
On 9/29/2024 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a multi-vehicle collision near the intersection of NE 6th
St and Index Ave NE Renton/King/WA. Multiple callers were reporting a vehicle had left the roadway
and collided with a parked vehicle causing it to collide with several other vehicles. They were
reporting no injuries.
I arrived on scene and located a 2024 Kia EV9 WA/CLT2246, which had been travelling north on
Index Ave NE, had veered to the right, leaving the roadway, and collided with a 2019 Honda
Ridgeline WA/D13759D. The driver of the Kia was identified by his WADL as Peter S Laban DOB:
10/28/1981 was outside of the vehicle and reported he was not injured, and neither was his
passenger. Peter told me that he had been involved in a road rage incident and was speeding to try
and get away from the other vehicle when he veered off the roadway into the parked car.
The force of the collision was great enough to force the Ridgeline to collide with a 2003 Honda
Odyssey WA/AUJ2507, which then collided with a 2011 Hyundai Elantra WA/AEK3949, which then
collided with a 2005 Ford Explorer WA/CCY4265. All these vehicles were unoccupied and legally
parked at the time of the collision.
The damage to the Kia was the entire front impact zone had been crushed and a combination of
airbags had deployed within the vehicle. The damage to the Ridgeline was extensive and was
concentrated on the rear bumper and quarter panels. Due to the extensive amount of damage to both
vehicles it was apparent that Peter had been travelling above the posted speed limit of 25 mph when
he veered from the roadway.
Both Peter and his passenger were evaluated by RRFA personnel and cleared at the scene.
The Kia had to be removed from the scene by Gene Meyer Towing.
Based on the damage to the vehicles and the Kia being off the roadway and colliding with four parked
vehicles 1 believe Peter operated his vehicle with the wheels off the roadway. I completed a Sector
Citation #4A0579054 for Wheel Off Roadway RCW 46.61.670. This citation should be mailed to
Peter.
Nothing further.
PAGE 3 OF 6
SUPPLEMENTAL REPORT NO. EF19932
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-10171
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL-
PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES IN ✓
1 4 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE
INITIAL
30
1 4
STREET
NEW AnDRFS CITY RENTON ST ZIP
6
CDL IONITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES❑N0� YES N
DRIVER'S STATE I SEX U M��DYSYv' -� 2
LICENSE
7
ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
F�
USE CLASS
8 ❑ 1 32
LICENSE AUJ2507 TAr WA VIN# 5FNRL18043BO94723
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR2003 MAKE HOND MODELODYSSEY STYLE VN I VEHICLE TOME E T SABLI TWL/ED BY anvi vFHIC P FROM TO
DAMAGE YES✓NO YES NO ✓
REGISTERED OWNER INFOJUAN RIOS 608 INDEX AVE NE.RENTONWA98056 m 33
12 � SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE INSURANCE CO
IN EFFECT &POLICY# t 9 1"01?
EHILLE o BOrroM 34
13 LEGALLY YES N001
CITATION# CHARGE
STANDING �} 8 7
14 ❑ UNIT# 4 VEO IOCRLE O : CYCLE � OWNER
YES AGE NOHRE3/HOLD MET PHONE ❑ 35
PEDESTRIAN
36
15 ❑ 1 UNKNOWN MIbbLE'.
LAST NAME FIRST NAME INITIAL
16 ❑ STREET CITY RENTON ST ZIP
N�n+AnnRFSS
CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICAL TANSPORTED
17 ❑ INTERLOCK YES No✓ INTERLOCK YE NO✓ YEs No.1
❑DRIVER'S STATE SEX U D.O.B 5 37
18 ❑ LICENSE# MMDDYYY -
ON DUTY STATUS AIRBAG 9 RESTR. g EJECT 1 HELMET g INJURY 0 NATURE OF INJURIES 38
USE CLASS
19 ❑ LICENSE
AEK3949 TAr WA v!N# KMHDC8AE4BU110560 39
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ [441
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR2011 MAKE HYUN MODEL ELANTR STYLE P4 VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 4
DAMAGE YES ✓NO NONE YES NO ✓
23 REGISTERED OWNER INFOJODYKANE 6141NDEXA.NE R..WA 98056 SHADE IN DAMAGED AREA F-1 43
3
LIABILITY INSURANCE INSURANCE CO
VE EFFECT &POLICY# 9`1'OP__ ® F-1
44
24 LEALE YES : NO❑ CITATION# CHARGE c
EiOi rOtvk
TANDIN y
STANDING 7 y;g
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 09-29-24 04:47 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 12421 O#IL WA0171300 SUMMERS 9/30/2024 PAGE F OF 6
3000-345-013(R 11118)
SUPPLEMENTAL REPORT NO. EF19932
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-10171
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL-
PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 5 VEHICLE t_"J � PEDESTRIAN YES IN
1 4 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET 30
NEW AnDRFSP� CITY RENTON ST ZIP
6
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES NO NTERLOCK YES❑N0� YES N
DRIVER'S STATE I SEX U M��DYSYv' —� 2
LICENSE
7
ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
F�
USE CLASS
8 ❑ 1 32
LICENSE I CCY4265 [TAT WA VIN# 1FMZU67K95UA93912
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLI ED BY anvi vEH1C P FROM TO
2005 FORD EXPLORE PK YP�
DAMAGE YES�NO YES NO
REGISTERED OWNER INFOMARTINAMELGAREJO MEDINA 1333 N 125TH ST TRLR 16 SEATTLE WA 98133 m 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE[] INSURANCE CO
IN EFFECT &POLICY# t 9 101?
EHILLE o BarroM 34
13 LEGALLY YES N001
CITATION# CHARGE
STANDING �} 8 7
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15F� I LAST NAME FIRST NAME INIMIDDLETIAL ❑ 36
ET
16 STRETRE "F ' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑
17 5 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ [441
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LeGAtty
STANDING S 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 09-29-24 04:47 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 12421 O#I',WA0171300 SUMMERS 9/30/2024 PAGE F51OF 6
3000-345-013(R 11118)
REPORT NO.! EF19932 CASE# 24-10171 DATE AND TIME 09/29/24 01:12
OF COLLISION
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PAGE 6 OF 6